NANCY JEAN WASILEWSKI


Address: 191 5th Street West, Ketchum, ID 83340
Phone: 2087265027

NANCY JEAN WASILEWSKI (NPI# 1407888720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407888720
Entity Type Individual
Full Name NANCY JEAN WASILEWSKI
Credential R.N.
Practice Address 191 5th Street West
Ketchum
ID 83340
Mailing Address Po Box 587
Twin Falls
ID 83303-0587
Practice Telephone 2087265027
Practice Fax Number 2087268948
Mailing Telephone 2088147400
Mailing Fax Number 2088147491
Enumeration Date 2006-07-07
Last Update Date 2012-09-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WX0800X Registered Nurse
Specialization: Orthopedic
N21188 ID Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
ID NURSING LICENSE N21188 01

Office Location

Street Address 191 5TH STREET WEST
City KETCHUM
State ID
Zip Code 83340

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700827946 Stephen A Wasilewski Orthopaedic Surgery 191 5th Street West, Ketchum, ID 83340 2006-06-09
1619159126 Gerald R Moress Md PC Psychiatry & Neurology 191 5th Street West, Ketchum, ID 83340 2007-11-27

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1952864506 Mollie Parker Szybala Naturopath 128 Saddle Rd, Suite 103-c, Ketchum, ID 83340 2019-04-10
1740789353 Courtney Loving Counselor 208 N. Spruce, Ketchum, ID 83340 2018-02-09
1164876785 Rebecca Grace Psychologist 200 River St East, Ketchum, ID 83340 2016-04-20
1306209556 Garrett Coman Dermatology St. Luke's Dermatology, 191 5th Street West, Ketchum, ID 83340 2016-04-04
1265895775 Innerhealth Md PC Acupuncturist 180 West 1st Street, Suite 206, Ketchum, ID 83340 2016-04-01
1487023503 Tomomi Ikawa Chiropractor 131 4th St. E., Suite 310, Ketchum, ID 83340 2015-09-18
1790195766 Maria Morris Acupuncturist 220 South 2nd Ave #101, Ketchum, ID 83340 2014-04-30
Find all providers in zip 83340

Taxonomy Information

Taxonomy Code 163WX0800X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Orthopedic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1629097159 Jodi Lynn Miller Registered Nurse 6500 W Emerald St, Boise, ID 83704-8736 2006-07-18
1417327214 Brianne Bender Registered Nurse 318 Warner Dr, Lewiston, ID 83501-4441 2015-10-06
1962556167 Kim Paulson Registered Nurse 714 N College Rd, Suite A, Twin Falls, ID 83301-3382 2007-01-23

Competitor

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City KETCHUM
Zip Code 83340

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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